TIFFANY POWERS FORD - Nursing Home Administrator License in Illinois | # 044005060

TIFFANY POWERS FORD

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005060

License Status

INACTIVE

Business

N

First Name

TIFFANY

Last Name

POWERS FORD

Business Name

TIFFANY POWERS FORD

Original Issue Date

03/12/1996

Effective Date

12/04/2003

Expiration Date

11/30/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/11/2005